<div class="main-content form signup-form">
    <h2><?php echo __('Modify your information') ?></h2>
<?php

$options = array(1 => 1, 3 => 3, 6 => 6, 12 => 12);

echo $this->Form->create('User', array('class' => 'form-customize'));
echo $this->Form->input('id');
echo $this->Form->hidden('subs_id', array('value' => $this->request->data['Subscription'][0]['id']));
?>
<fieldset>
    <legend><?php echo __('The basic information') ?></legend>
    
    <?php echo $this->Form->input('first_name', array('label' => __('First name *'))) ?>
    <?php echo $this->Form->input('last_name', array('label' => __('Last name *'))) ?>
    <?php echo $this->Form->input('username', array('label' => __('Username *'), 'readonly' => true)) ?>
    <?php echo $this->Form->input('email', array('label' => __('Email *'))) ?>
    <?php echo $this->Form->input('plan', array('label' => __('Subscride plan (months)'), 'options' => $options,  'selected' => $term)) ?>
</fieldset>
<fieldset>
    <legend><?php echo __('Contact infomation') ?></legend>
   <?php echo $this->Form->input('phone', array('type' => 'text', 'label' => __('Phone *'))) ?>
    <?php echo $this->Form->input('house_number', array('label' => __('Address *'))) ?>
    <?php echo $this->Form->input('street', array('label' => __('Street *'))) ?>
    <?php echo $this->Form->input('city', array('label' => __('City/Province *'))) ?>
    <?php echo $this->Form->input('country') ?>
</fieldset>
<fieldset class="selected_option">
    <legend><?php echo __('Payment method') ?></legend>
    <div class="payment">
        <?php echo $this->Form->radio('payment_method', array('pick_up' => __('Pick up')), array('legend' => false, 'readonly' => true    )) ?>
        <?php echo $this->Form->radio('payment_method', array('paypal' => __('Paypal')), array('legend' => false, 'checked' => true)) ?>
    </div>
</fieldset>
<?php echo $this->Form->submit(__('Update'), array('label' => false, 'class' => 'btn btn-large btn-success'))?>
<?php
echo $this->Form->end()
?>
</div>